A 29-year-old male asked:
could fludrocortisone cause reflex bradycardia if blood volume increases too much increasing central pressures?
1 doctor answer
Dr. Ira Friedlander answered
41 years experience Cardiac Electrophysiology
Theoretically: It is possible that you could get reflex bradycardia from volume increase but the amount of volume required to trigger this reflex would not be achievable with florinef (fludrocortisone) alone. Bradycardia is a common response in dysautonomia which florinef (fludrocortisone) is used for in treatment. I suspect the reflex bradycardia is actually the physiologic response from dysautonomia not volume overload.
Answered on Jul 3, 2017
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